Healthcare Provider Details

I. General information

NPI: 1699772681
Provider Name (Legal Business Name): JOEL IRA FRANCK MD.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 09/13/2021
Certification Date: 09/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 CURLEW ROAD SUITE 106
OLDSMAR FL
34677-2629
US

IV. Provider business mailing address

3180 CURLEW RD SUITE 106
OLDSMAR FL
34677-2629
US

V. Phone/Fax

Practice location:
  • Phone: 850-778-1547
  • Fax: 727-286-7738
Mailing address:
  • Phone: 850-778-1547
  • Fax: 727-286-7738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberME99762
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: